XENIA ZELDIN BLACK (NPI# 1396184925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396184925 |
| Entity Type | Individual |
| Full Name | XENIA ZELDIN BLACK |
| Credential | MSW |
| Practice Address |
8150 Wornall Rd Kansas City MO 64114-5806 |
| Practice Telephone | 8165083500 |
| Mailing Telephone | 8165083500 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 2013018485 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1396184925 | 05 |
| Street Address |
8150 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881664365 | Gillis Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2006-01-25 |
| 1306450861 | Kellie Rodriguez | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2020-09-02 |
| 1184234346 | Jennifer Lynn Sprague | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2020-08-03 |
| 1902414345 | Emma Ramirez | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2020-07-22 |
| 1679117568 | Summer Montgomery | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-11-04 |
| 1003460007 | Cowartiz Merkerson | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-07-29 |
| 1356815914 | Abigail Eisenhutt | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-01-17 |
| 1194299750 | Glenda Jimenez | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-01-17 |
| 1710461793 | Angela M Sheffler | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2018-09-17 |
| 1124510466 | Robin Galloway | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2018-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1386121507 | St Lukes Hospital of Kansas City | Psychiatric Residential Treatment Facility | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2018-07-20 |
| 1922252071 | Kvc Hospitals Inc | Psychiatric Residential Treatment Facility | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-11-14 |
| 1396894119 | Ozanam | Psychiatric Residential Treatment Facility | 421 E 137th St, Kansas City, MO 64145-1455 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1932369857 | Missouri Residential Care LLC | Psychiatric Residential Treatment Facility | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2008-06-13 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1407058894 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2007-06-05 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| 1841347499 | Compass Health, Inc. | Psychiatric Residential Treatment Facility | 1032 Crosswinds Court, Wentzville, MO 63385 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on XENIA ZELDIN BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.